a survey of core and support activities of communicable disease surveillance systems at operating-level cdcs in china核心的调查和支持活动的传染病监测系统在运营层面在中国疾病预防控制中心.pdfVIP

Xiong et al. BMC Public Health 2010, 10:704 /1471-2458/10/704 RESEARCH ARTICLE Open Access A survey of core and support activities of communicable disease surveillance systems at operating-level CDCs in China * Weiyi Xiong, Jun Lv, Liming Li Abstract Background: In recent years, problems like insufficient coordination, low efficiency, and heavy working load in national communicable disease surveillance systems in China have been pointed out by many researchers. To strengthen the national communicable disease surveillance systems becomes an immediate concern. Since the World Health Organization has recommended that a structured approach to strengthen national communicable disease surveillance must include an evaluation to existing systems which usually begins with a systematic description, we conducted the first survey for communicable disease surveillance systems in China, in order to understand the situation of core and support surveillance activities at province-level and county-level centers for disease control and prevention (CDCs). Methods: A nationwide survey was conducted by mail between May and October 2006 to investigate the implementation of core and support activities of the Notifiable Disease Reporting System (NDRS) and disease- specific surveillance systems in all of the 31 province-level and selected 14 county-level CDCs in Mainland China The comments on the performance of communicable disease surveillance systems were also collected from the directors of CDCs in this survey. Results: The core activities of NDRS such as confirmation, reporting and analysis and some support activities such as supervision and staff training were found sufficient in both province-level and county-level surveyed CDCs, but other support activities including information feedback, e